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Sexual Violence And Psychological Distress: The Roles Of Coping Self-Efficacy, Self-Blame, Shame, Activism, And Feminism, Charlotte Strauss Swanson

Doctoral Dissertations

In the current study, we investigated potential direct, indirect, and moderated relations in the links between exposure to sexual violence and PTSD symptom severity and depression among a sample of 440 United States women who had experienced sexual assault in adulthood. We found that sexual violence exposure was both directly and indirectly related to PTSD symptom severity via less trauma coping self-efficacy, greater behavioral and characterological self-blame, and more shame. Sexual violence exposure was also indirectly related to depression via the same explanatory variables, except for behavioral self-blame. Contrary to our hypotheses, results indicated that involvement in anti-sexual activism and …

The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie

Doctoral Dissertations

The study examined the moderating role of meaning made, meaning making and social support on the relationship between negative life events and posttraumatic stress disorder (PTSD), anxiety and depression as well as the facilitating role of these moderating variables for posttraumatic growth(PTG). Eritrean refugees (N = 135) who were residing in Europe were recruited. The results showed that post-migration living difficulties significantly related with negative outcomes. In addition, the results showed that social support moderated the relationship between the number of traumatic life events and anxiety symptoms. However, meaning made and social support were not significant moderators on the …

Treatment Preferences And Outcome In A Randomized Controlled Trial For Depression Comparing Supportive-Expressive Therapy To Medication And Pill Placebo, Sophia Elsie Winter

Doctoral Dissertations

Previous research regarding the relationship between patient treatment preferences on outcome has been equivocal, with some studies finding a significant relationship between preference match and outcome, and others finding no such evidence. This study examines the effect of patient treatment preference match on outcome using data from a previously published randomized controlled trial comparing supportive-expressive therapy (SET), to antidepressant medication plus clinical management, and to pill-placebo plus clinical management. The original study included 156 participants receiving treatment at the Center for Psychotherapy research at the University of Pennsylvania in Philadelphia, PA. This study is the first to examine the relationship …

Mindfulness-Based Therapy And Behavioral Activation: A Randomized Controlled Trial With Depressed College Students, Crystal Constance Mcindoo

Doctoral Dissertations

Major Depressive Disorder (MDD) is found in about 20% of university students, with increasing incidence in the past two decades (American College Health Association, 2010). Depressed college students report significant academic problems, including lower grade point average, inability to concentrate, absenteeism, lower academic productivity, and interpersonal problems. Mindfulness-Based Stress Reduction (MBSR) and Behavioral Activation (BA) are two interventions that have significant potential in meeting demands of college counseling clinics insofar as treating depressed college students. This study utilized a randomized controlled design (n = 50) to examine the efficacy of four-sessions of abbreviated MBSR and BA relative to a …

Relationships Among Depression, Posttraumatic Stress Disorder, Forgiveness, Meaning In Life, And Spirituality In Survivors Of Intimate Partner Violence, Shannon Marie Rogers

Doctoral Dissertations

One hundred twenty nine survivors of interpersonal violence completed a paper-and-pencil survey to evaluate depression, PTSD, forgiveness, meaning in life, and spirituality. Five self-report measures were completed including: the Center for Epidemiological Studies-Depression scale, the PTSD Checklist – Stressor Specific version, the Transgression-Related Interpersonal Motivations Inventory, and the Spiritual Involvement and Beliefs Scale. The majority of the participants were female and Caucasian. Significant correlations were found between PTSD and presence of meaning, as well as depression and both presence of and search for meaning. However, hierarchical multiple regressions results indicated that depression and the two meaning in life subscales contributed …

Relationship Quality, Individual Wellbeing, And Gender – A Series Of Longitudinal Studies, Patricia Nola Eugene Roberson

Doctoral Dissertations

Using multiple theories, three studies examined the association between relationship quality, individual wellbeing (e.g., psychological distress), and gender across multiple time points. In Study 1 applied life course theory concepts (e.g., roles, role configurations, role trajectories) and second order latent class analyses were then conducted. Using four relationship role trajectories were identified from these analyses. Relationship role trajectories differed on wellbeing, wherein individuals in stable marriages with higher satisfaction consistently reported greater wellbeing (i.e., lower depression and higher life satisfaction).

Study 2 sought to determine the direction of the association between individual wellbeing and relationship quality. This study specifically examined …

Behavioral Activation For Depressed Breast Cancer Patients: The Impact Of Therapeutic Compliance And Quantity Of Activities Completed On Symptom Reduction, Marlena Maria Ryba

Doctoral Dissertations

Behavioral activation (BA) is an empirically validated treatment that reduces depression by increasing overt behaviors and exposure to reinforcing environmental contingencies. Although research has identified an inverse correlation between pleasant or rewarding activities and depression, the causal relation between increased structured activities and reduced depression has not directly been studied. In the context of a recent randomized trial (Hopko et al., 2011), this study used longitudinal data and growth curve modeling to examine relationships among the quantity of activities completed, proportion of activities completed (i.e., therapeutic compliance), environmental reward, and depression in breast cancer patients treated with BATD (n …

Avoidance And Depression: Evidence For Reinforcement As A Mediating Factor, John Paul Carvalho

Doctoral Dissertations

Behavioral Activation theory (Martell, Addis, & Jacobson, 2001) posits that a pattern of excessive use of avoidant coping strategies removes an individual from environmental sources of reward and reinforcement and subsequently leads to the development (or maintenance) of depressive symptoms. This investigation examined this theory by establishing measures of environmental reward as mediators between avoidance and depression, while further demonstrating that there is a strong connection between avoidance and depression independent of anxiety. Reward was measured by both self-report questionnaire (Reward Probability Inventory; Carvalho et al., under review) and daily activity diary ratings (Hopko, Bell, Armento, Hunt, & Lejuez, 2003), …